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Home My WebLink AboutApplicationGørfield Countyl-zLtlãùoJ uJ tua h2,:3 = !'-'2, Ê3ulo uJ ''' ooJlrl ruE,Ë ú, o Community Development Department 108 8th Street, Sulte 401 Glenwood Springs, CO 81601 l970l94s-82L2 www.earf ield-countv.com BUILDING PERMIT APPLICATION WPE Commercial/Multi-Fami Demolition M a n uf19.t g¡9_{ lgle rþ!!¡þ o r lVl u lt i- Leve I ) $q¡,id entia I {SL lgplqlot Town h ome)Reroof Dwell Unit U - MAXIMUM SIZE OF FEET ^L-ì-\1 Phone: {?ìt0 ¡"l.tl- f tÞt L/( Email Address: Property Owner: Mailing Address: Phone:Contractor: Mailing Address: EmailAddress: Wt øf"0 Phone: oÐI^,A r/ it Dvt looK . t Architect:?3!t -t3 *\ 316oì-\t3Mailing Address EmailAddress: t\ $Er t ì '\¡- 8ru L)V¡ ?rn ì Engineei: Mailing Address: EmailAddress: 1-Ù 0r Phone:Manufactured Home lnstaller: Mailing Address: EmailAddress: XClass of Work:New RemodellAlteration PROJEST T¡ETAIIS tb qo b]35 L I ù tt¡(( Height:13- t! ll Describe work: ^( hJ rCli Cl Sq. Ft. of Building: Property Size (Sq. Ft. or Acres):Owne/s Valuation of Work: Sub. Job AddrÞss:a33 ition rot l( .Btock- Assessor'sParcelNumber:'ì-\'ì-i I # of Floors: t Garage:Attached Detached $ PROJECT DETAITS CONÏINUËD Septic; Tr¡na af lJar+¡ tP! vr ¡ rLsr hlair rral 1ì:¡ Community ¡leitrii j ¡ I I |.l+har Driveway Permit: NONCE Authority. ThisapplicationforaBuildingPermitmustbesignedbytheOwneroftheproperty,descr'rbedabove, oranauthorizedagent. lfthesignaturebelowisnotthatoftheOwner,aseparateletterofauthoritylsignedby the Owner, must be provided with this Application. Lesal Access, A Building Permit cannot be issued w¡thout proof of legal and adequate access to the property for purposes of inspections by the Building Division. Other Permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit, (3) another permit required for use on the property identified above, e.g. State or County Highway/ Road Access or a State Wastewater Discharge Permit. Vold Permit. A Building Permit becomes null and void if the work authorized is not commenced within 180 days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. CERTIFICATION I hereby certify that I have read this Application and thatthe information contained above is true and correct. I understand that the Building Division accepts the Application, along with the plans and specifications and other data submitted by me or on my behalf (submittais), based upon my certification as to accuracy. Assuming completeness of the submittals and approval of this Application, a Building Permit will be issued granting permission to me, as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by the Building Division. ln consideration of the issuance of lhe Building Permit, I agree that I and my agents will comply with provisions of any federal, state or local law regulating the work and the Garfield County Building Code, OWTS regulations and applicable land use regulations (County Regulation(s)). I acknowledge that the Building Permit may be suspended or revoked, upon notice from the County, if the location, construction cr use of the structure(s) and facility(ies), described above, are not in compliance with County Regulation(s) or any other applicable law. I hereby grant perm¡ssion to the Building Division to enter the property, described above, to inspect the work. I further acknowledge that the issuance of the Building Permít does not prevent the Building Official from: (1) requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping construction or use of the structure(s) orfacility{ies) if such is in violation of County Regulation(s) orany other applicable law. Review of this Application, íncluding submittals, and inspections of the work by the Building Division do not constitute an acceptance of responsibility oi liability by the County of errors, omissions or discrepancies. As the Owner, I acknowledge that responsibility for compliance with federal, state and local laws and County Regulations rest with me and my authorized agents, including without limitation my architect ._4ç¡tglg,r,--ç.!.9-ing-elgn_{l--o:L.I1,4"ç"f ._. I hereby acknowledge that I have read and understand the Notice and Certification above, as well as, have provided the required information which is correct and accurate to the best of my knowledge, Permit #: a \ -'t:t.- f-1 Property Owner Print and S¡gn Date oFFrcrAtusEoNty P4.tf tpSZFq cc OllAolzozt ' *ã=**ial Ð*nd'itions: ,9CI Adiusted Valuation: # ¿l z Lro{.rß PÍan Check Fee:illSa-++-Permit Fee; AqL,çO Manu. Hlre Fee:Misc. Fees: RtF( ¡l,B.D) = l" 8¡ ïotal Feds: þ3^ bt1.05 Fees Paid: f tzaz ..J Balance Þue: Þ zzz*.1tr BP No: ßr^Re- c8.zl OWTS No; Setb#ks: ,&tCe Group:trzc Const= Type: t?c Zcni*g: R.ve¿ru U/zt-r-t3-7!21 Ðãte BUil-DrNG / PTANNTN6 D|VISION : 3åg+*d *ppr*v:l N Garfield County BUILDING DEPARTMENî 1-08 Eighth Street, Suite 407, Glenwood Spr¡ngs, CO 87601 Tel: (970) 945-8212 PLAN R EVI EW C HECKLIST Permit No: fi L Rl-}q-zF bØLl Building lssues Planning /Tonintg lssues Kvra I NA Drivewaypermitqîffiffi^l/A t a Surveyed Site Plan I I Engineered Foundation Seotic Permit and Setbacksseprovzl-bØzz Grade/ TopograPhY 30/o Attach Residential Plan Review List Subdivision Plat Notes Fire Department Review Valuation Determination/ Fees Red Line Plans/ StamPs/ Sticker Attach Conditions t/ Application Signed Plan Reviewer to Sign APPlication Parcel/schedule No. 40# Snowload Letter - Manu. HomesNA Soils Report 2wPt+ 3áactw t'' Property Líne Setbacks I/1^ & a¡-^-- C^¡L^^1.-JU tL. )l,f gdf f I JetuclLl\s Flood Plain Building Height Zoning Sign-Off Road lmpact Fees Grade/ Topography 40% VE3- NA t/ "/ v/ yf3 ,./ Planning lssues t/ subdivision p,"ï (AZl Bù fub ßrungsExurrph'tuw (../ Descripti on & Sunnmarv: N,6,0, = (lF= fllgl t Frs 9t7b *7l,bg =þ23%tga, bg 3*gø gs7 Y óz=f 2grez{.ø crøtl tgtb.\íx. t8=l 32-.rbq2,5o "Pld ZtlLl x tK= ë \3g2,ôou}Pld gqb x E={ toí752,Ø Ad/.ßuilð.in3Vr,Jn, ., þ ø l3 zLl/,¿l, tg '* F, fic#,ãåtìg. rians i.oi each fl'ooi- ievei anci iaaf. ,4il bean¡s, cûlun¡ns, joists, rafÉers a¡¡d Êi-usses æe*ified. Pre-manufactured struc{ures reqgire the engjneers stamp. signature and date. ,É. Fn*ming lconnection dêtails, þraced wafl lines, shear wall schedule, location and hold downs NOTE: lf any required information is missing, delays in issuing the permit are to be expected. lf determined þ_v' the Buildii'ç Officiai t*et additional information is rìecessâíy i+ review the arplicatian andlor plans for compliance, the application may be placed on hold until the required information is provided. Work may not pioceed without the'issuance of a permit. The Building Division will collect a Plan Review fee at time of application submittai. The permit fee, as well as any Road lmpact fees will be collected when the permit is issued. The permit applicatian nr.¡sÊ be signed by the r-tríÌ€í *r by perean havi*g wiitten authority from ihe Ë$/íìËr to act as their representative. Building cannot be occupied until a Certificate of Occupancy (CO) is issued. Using the building without a CO will be considered an illegal occupancy and may be grounds for vacating the premises. (FinaliCO inspection requirements will be attached to your approved field set of plans.) I lieneby ack¡¡owiedge i have read, understand a¡td wili abide bry the requirernente of this checklist. KØi,lL, tli+le-Å<rq ^ Property Owner Þrint and bign \ - ?3-'l-\ è: Date